How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $102.33 | Professional | None | $53.70 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $36.31 Typical High $46.77 | Professional | 52 · Reduced service | $26.92 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $14.45 Typical High $18.62 | Professional | 53 · Discontinued | $10.72 | $14.45 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $10.96 Typical High $14.13 | Professional | 55 · Aftercare only | $8.13 | $10.96 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.24 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.37 | $7.24 | $9.33 |
BCBS Arizona Setting Facility Modifier None Typical Low $63.10 Median $275.42 Typical High $407.38 | Facility | None | $63.10 | $275.42 | $407.38 |
BCBS Arizona Setting Professional Modifier None Typical Low $40.74 Median $83.18 Typical High $97.72 | Professional | None | $40.74 | $83.18 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $91.20 | Professional | None | $45.71 | $69.18 | $91.20 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $141.25 | Facility | None | $53.70 | $87.10 | $141.25 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $371.54 Typical High $741.31 | Professional | None | $79.43 | $371.54 | $741.31 |
United Setting Professional Modifier None Typical Low $30.20 Median $57.54 Typical High $91.20 | Professional | None | $30.20 | $57.54 | $91.20 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Arizona sits
The same service costs 3.0 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 22nd of 51
$81.28
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.